为考虑性别转换者提供生育护理

Q3 Medicine

Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2024-08-01 DOI:10.1016/j.ogrm.2024.07.004

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引用次数: 0

摘要

转诊到性别认同发展服务和性别认同诊所的人数正在增加。确认性别的医疗干预措施可能会对个人的生育潜力产生不利影响。应讨论促性腺激素释放激素激动剂和交叉激素等各种治疗方法以及生殖器和生殖器官手术可能对生育产生的影响。应提供机会讨论保留生育能力的方案，并协助患者做出决定。应当认识到，变性人的心理健康问题发生率会增加，而且目前在优化护理方面存在许多障碍。卵细胞和精子冷冻保存为生儿育女提供了选择。

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Fertility care for persons considering gender transition

Referrals to the gender identity development service and gender identity clinics are increasing. Gender-affirming medical interventions can adversely impact on the fertility potential of the individual. The possible fertility impact of various treatments such as gonadotropin hormone releasing hormone agonists and cross over hormones, and surgery of genitalia and reproductive organs, should be discussed. An opportunity should be provided to discuss options for fertility preservation and patients should be assisted in decision making. It should be appreciated that transgender individuals have an increased incidence of mental health problems, and that there are currently many barriers to optimal care. Oocyte and spermatozoa cryopreservation provide options for biological parenthood.

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来源期刊

Obstetrics, Gynaecology and Reproductive Medicine Medicine-Obstetrics and Gynecology

CiteScore

0.90

自引率

0.00%

发文量

期刊介绍： Obstetrics, Gynaecology and Reproductive Medicine is an authoritative and comprehensive resource that provides all obstetricians, gynaecologists and specialists in reproductive medicine with up-to-date reviews on all aspects of obstetrics and gynaecology. Over a 3-year cycle of 36 issues, the emphasis of the journal is on the clear and concise presentation of information of direct clinical relevance to specialists in the field and candidates studying for MRCOG Part II. Each issue contains review articles on obstetric and gynaecological topics. The journal is invaluable for obstetricians, gynaecologists and reproductive medicine specialists, in their role as trainers of MRCOG candidates and in keeping up to date across the broad span of the subject area.